| NPI | 1477831527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A15548) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 006971) |
| 207X00000X Orthopaedic Surgery (Licence: MO 2011018228) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2022-01-12 |