| NPI | 1770927493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI MD-20227) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A152360) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2023-11-02 |