| NPI | 1295355816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A196288) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R77929) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2024-08-30 |