| NPI | 1326457839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A138771) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61054853) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: WA MD61054853) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2024-12-11 |