| NPI | 1407076193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 8283131-1205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 5477) |
| 207X00000X Orthopaedic Surgery (Licence: CA A114736) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-11-27 |