| NPI | 1346692175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD468648) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A172077) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2024-05-16 |