| NPI | 1336415736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME174253) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301100411) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01086351A) | |
| 207X00000X Orthopaedic Surgery (Licence: AZ 74275) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2025-08-05 |