| NPI | 1518581420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A201820) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 284798) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2025-08-15 |