| NPI | 1104875517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA G83519) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G83519) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-07-25 |