| NPI | 1295839595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI MD3340) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G15800) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2012-06-12 |