| NPI | 1184892606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A 117244) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A117244) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2022-11-03 |