| NPI | 1528163284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI MD-11077) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA MD A061370) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2010-10-04 |