| NPI | 1841638699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA 15480) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR PG162868) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2023-09-12 |