| NPI | 1003029034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-10494) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A95207) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-04-12 |