| NPI | 1558510438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2015-00847) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A129260) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2018-07-26 |