| NPI | 1033111026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A12596) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 5505) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA 20A12596) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-03-19 |