| NPI | 1568721397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX Q9453) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10044558) |
| 207X00000X Orthopaedic Surgery (Licence: CA A148265) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2022-01-04 |