| NPI | 1720240781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A144527) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60322131) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD60322131) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2022-10-18 |