| NPI | 1366548901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: CA G80614) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA G80614) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-12-06 |