| NPI | 1205164761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A103633) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA a103633) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD446107) | |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2025-06-11 |