| NPI | 1740676501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 12857577-1205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A170698) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2023-06-21 |