| NPI | 1215081773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.090990) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A97334) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-08-06 |