| NPI | 1003132127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A128003) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 254820) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2018-12-19 |