| NPI | 1548381999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A112438) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-221256) |
| 207X00000X Orthopaedic Surgery (Licence: CA A112438) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-04-23 |