| NPI | 1740294321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G72325) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 50469) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-09-08 |