| NPI | 1659395671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A46158) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A46158) |
| 207X00000X Orthopaedic Surgery (Licence: CA A46158) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-04-23 |