| NPI | 1568468528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A80509) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A80509) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2024-08-30 |