| NPI | 1952832826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX U3487) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A175899) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-08-18 |