| NPI | 1851854947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD491786) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A195646) |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2025-09-23 |