| NPI | 1851549901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301511405) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 46201) |
| 207X00000X Orthopaedic Surgery (Licence: IL 125052518) | |
| 207X00000X Orthopaedic Surgery (Licence: CA 111422) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2024-10-08 |