| NPI | 1992130405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA C161324) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 271683) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01076386A) | |
| 207X00000X Orthopaedic Surgery (Licence: MI 4301106600) | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2022-09-13 |