| NPI | 1275762676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101018328) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA OP60554744) |
| 207X00000X Orthopaedic Surgery (Licence: IN 02004414A) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2019-09-13 |