| NPI | 1619312584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 301336) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A155533) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2024-09-09 |