| NPI | 1154319739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0059197) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA C164795) |
| Enumeration Date | 2005-10-08 |
| Last Update Date | 2022-09-29 |