| NPI | 1871029892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 1015880) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA a177924) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-10-26 |