| NPI | 1144365529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A73534) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00045455) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-09-18 |