| NPI | 1801105309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX Q8814) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A136306) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2021-09-16 |