| NPI | 1942511290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX Q8598) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301096984) |
| 207X00000X Orthopaedic Surgery (Licence: CA A135268) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2022-03-02 |