| NPI | 1740314954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35-09-3865A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A104258) |
| 207X00000X Orthopaedic Surgery (Licence: OH 57.007421) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-11-16 |