| NPI | 1437416963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 278058) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A119255) |
| Enumeration Date | 2012-04-22 |
| Last Update Date | 2018-03-17 |