| NPI | 1275898314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101271213) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A154074) |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2022-01-25 |