| NPI | 1700081098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI 16451) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A120196) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2013-08-21 |