| NPI | 1033615323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2024-01685) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A183477) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-07-16 |