| NPI | 1124188909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD426240) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A99243) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-01-10 |