| NPI | 1891894739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A52097) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A52097) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-01-02 |