| NPI | 1841498763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2007-0471) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA C56196) |
| 174400000X Specialist (Licence: NM MD2007-0471) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-12-06 |