| NPI | 1013026269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL OS-0006819) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A23999) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-09-12 |