| NPI | 1992746150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA G59471) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G59471) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2024-04-28 |