| NPI | 1043284326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A9752) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MT 8801) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MT 8801) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MT 8801) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA 20A9752) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA 20A9752) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2012-12-20 |