| NPI | 1033746474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A178232) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 75168) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2026-07-28 |