| NPI | 1699269126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MT216195) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA AA187431) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-10-11 |