| NPI | 1598852014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G71592) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 34485) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-03-05 |