| NPI | 1225169279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD60091872) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A91539) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2010-07-14 |