| NPI | 1154324705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD27700) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G81021) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2022-01-25 |