| NPI | 1275693590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL MD.28990) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A97875) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-03-25 |