| NPI | 1407015092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A131292) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD60325069) |
| 207X00000X Orthopaedic Surgery (Licence: WA MD60325069) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2016-06-14 |