| NPI | 1104858620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A68405) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A68405) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-07-10 |