| NPI | 1508824491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2019-01529) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A71855) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-10-26 |