| NPI | 1467794974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301505875) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A175399) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101257432) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2023-12-21 |