| NPI | 1437492907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 58562) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A155120) |
| 207X00000X Orthopaedic Surgery (Licence: NV 17682) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2019-12-09 |