| NPI | 1861570467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G64408) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: HI MD-22033) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2026-05-15 |