| NPI | 1841513637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 34.010809) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A11130) |
| 207X00000X Orthopaedic Surgery (Licence: OH 34.010809) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2016-12-28 |