| NPI | 1083658298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: NV 15016) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: MO 2007014767) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CA A108401) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-05-10 |