| NPI | 1346622040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A168038) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC LL38434) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2024-02-14 |