| NPI | 1992025431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX P8770) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A133813) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2022-01-13 |