| NPI | 1174972673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A18692) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR PG177348) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-08-30 |