| NPI | 1487947966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 16971) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 123442) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2022-01-04 |