| NPI | 1629059506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 4118) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G031965) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2016-06-10 |