| NPI | 1588971436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-35622) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A116657) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2013-01-18 |