| NPI | 1457332025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 6627) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN MD0000023692) |
| 207X00000X Orthopaedic Surgery (Licence: CA G070303) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2024-03-14 |