| NPI | 1760428734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ AZ37139) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A94284) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2011-10-21 |