| NPI | 1457367286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 63886) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A81874) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2021-10-07 |