| NPI | 1750356051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NV 15100) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G88986) |
| 174400000X Specialist (Licence: CA G88986) | |
| 207X00000X Orthopaedic Surgery (Licence: NV 15100) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2014-11-25 |