| NPI | 1275740102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA 20A12151) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101016925) |
| 207X00000X Orthopaedic Surgery (Licence: AL DO1192) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-02-09 |