| NPI | 1891982559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-12474) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A107698) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2023-02-22 |