| NPI | 1457403834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A87437) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A87437) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA A87437) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A87437) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2024-07-01 |