| NPI | 1013921386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A98833) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 227133) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2009-10-16 |