| NPI | 1275617003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A039912) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA a39912) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-06-13 |