| NPI | 1194162958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MO 2019026844) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2019026844) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A153736) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2019-09-12 |