| NPI | 1780034678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A194258) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 268486) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2024-08-07 |