| NPI | 1235525247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A144054) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A144054) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD61033015) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2024-04-28 |