| NPI | 1225265101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A10794) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL DO.1287) |
| 207X00000X Orthopaedic Surgery (Licence: GA 068121) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2024-12-12 |