| NPI | 1699138321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD61281176) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A171968) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-09-15 |