| NPI | 1598711681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A80294) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A80294) |
| 207X00000X Orthopaedic Surgery (Licence: MA 227085) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-04-27 |