| NPI | 1073879185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-14245) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A148489) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CA A148489) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: ID M-14245) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2024-04-09 |