| NPI | 1093240582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD61436981) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A175934) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2023-09-27 |