| NPI | 1427061092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G82064) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD206978) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2025-02-21 |