| NPI | 1467088328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A183308) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2025010840) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2026-11-05 |