| NPI | 1730210998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD60211843) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 00000) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2012-04-12 |