| NPI | 1225046246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 50213) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G19287) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2023-11-16 |