| NPI | 1427168806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A44740) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A44740) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A44740) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-01-15 |