| NPI | 1013184290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA C163356) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2011016770) |
| 207X00000X Orthopaedic Surgery (Licence: CA C163356) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MO 2011016770) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2024-04-27 |