| NPI | 1669727210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 122834) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A148168) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2018-04-04 |