| NPI | 1427090505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-13182) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A73913) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-02-15 |