| NPI | 1578918926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CA 20A15813) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2021005870) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2024-03-07 |