| NPI | 1750580882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA C157530) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA C157530) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA C157530) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MO 2013008004) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA C157530) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2018-08-03 |