| NPI | 1205875879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD60112464) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01066387A) |
| 207X00000X Orthopaedic Surgery (Licence: CA A92584) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2021-06-22 |