| NPI | 1356789903 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A163166) | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-255535) | 
| 207X00000X Orthopaedic Surgery (Licence: CA A163166) | |
| Enumeration Date | 2013-06-05 | 
| Last Update Date | 2024-04-27 |