| NPI | 1245558709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.129459) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 136091) |
| Enumeration Date | 2010-05-08 |
| Last Update Date | 2016-11-07 |