| NPI | 1982854626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A105584) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 44249) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2020-01-02 |