| NPI | 1255771747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: CA A131638) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA NOLICENSEYET) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2023-03-07 |