| NPI | 1760654685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 5843415-1205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A103451) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-07-30 |