| NPI | 1689743437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A36821) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A036821) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: CA A036821) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-07-20 |