| NPI | 1922628247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0077947) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A202450) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2026-07-23 |