| NPI | 1710101555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA C139207) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA C139207) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MO 2008002410) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2024-04-27 |