| NPI | 1649701699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CO DR.0070776) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A176052) |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0070776) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A176052) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-09-20 |