| NPI | 1134176274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 6292) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G60029) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-07-30 |