| NPI | 1497251722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA 185521) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 33848) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-07-31 |