| NPI | 1073689006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD60112505) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A94196) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-08-23 |