| NPI | 1750460804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI MD-8030) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A41545) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-04-11 |