| NPI | 1144270612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA C51436) |
| Additional Taxonomies | 174400000X Specialist (Licence: WV 21346) |
| 207X00000X Orthopaedic Surgery (Licence: CA C51436) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-09-04 |