| NPI | 1013104215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A100870) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 247247) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 247247) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2022-02-11 |