| NPI | 1326399080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD60948203) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A152799) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2021-03-31 |