| NPI | 1902474927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A183881) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: HI MDR-8113) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2023-02-12 |