| NPI | 1649301631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 45465) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A86240) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2022-06-07 |