| NPI | 1639150568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NV 5565) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A030821) |
| 207X00000X Orthopaedic Surgery (Licence: NV 5565) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2021-12-20 |