| NPI | 1497709984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA G78425) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G78425) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2023-11-21 |