| NPI | 1043473507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA C170907) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME115203) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 274343) | |
| 207X00000X Orthopaedic Surgery (Licence: NY 274343) | |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2026-07-01 |