| NPI | 1124221726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD155983) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A100328) |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2019-06-10 |