| NPI | 1194259754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 92244) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A184662) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2024-08-26 |