| NPI | 1598893711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2008-00498) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A85722) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-03-07 |