| NPI | 1982969846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 008200) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A18085) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2024-10-28 |