| NPI | 1669448403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101019062) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN DO0000001649) |
| 207X00000X Orthopaedic Surgery (Licence: GA 043790) | |
| 207X00000X Orthopaedic Surgery (Licence: NY 266664) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-06 |