| NPI | 1073566717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G78312) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 360087-1205) |
| 2086X0206X Surgery, Surgical Oncology (Licence: UT 360087-1205) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA G78312) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-09-05 |