| NPI | 1356491161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0063229) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A65801) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2019-09-24 |