| NPI | 1538150131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 6786) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G75392) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2021-07-22 |