| NPI | 1811163215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0072412) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD437883) |
| 207X00000X Orthopaedic Surgery (Licence: CA A142035) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2024-04-10 |