| NPI | 1437511433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX S4854) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A171883) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-10-28 |