| NPI | 1215384102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI MD-23594) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A175724) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2023-07-25 |