| NPI | 1598952327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A99867) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A99867) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2017-02-10 |