| NPI | 1053759233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA 170102) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A170102) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2023-06-05 |