| NPI | 1083777932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI MD-13975) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A71584) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-12-30 |