| NPI | 1518328483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CO DR.0066284) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0066284) |
| 207X00000X Orthopaedic Surgery (Licence: CA A156149) | |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2022-03-03 |