| NPI | 1952834285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 68470) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A117605) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2023-09-26 |