| NPI | 1518390467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: CA A159208) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01093934A) |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: WI 82340) | |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: MN 73729) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2025-07-10 |