| NPI | 1982696571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA g30543) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G30543) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2011-09-16 |