| NPI | 1053949636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A178549) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID 3571383) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-03-05 |