| NPI | 1710902655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA C172147) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD422624) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MD D0069284) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD422624) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CO C172147) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-07-26 |