| NPI | 1689786873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A13540) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA OP00001966) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-03-11 |