| NPI | 1972558021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA G52006) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G52006) |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: CA G52006) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CA G52006) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-05-24 |