| NPI | 1760820708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35135672) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A153933) |
| 207X00000X Orthopaedic Surgery (Licence: MI 4301103418) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OH 35.135672) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2023-09-26 |