| NPI | 1568665933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 20A12071) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OS-015257) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2016-10-03 |