| NPI | 1811926975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA g49306) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA g49306) |
| 207X00000X Orthopaedic Surgery (Licence: CA G49306) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2009-08-21 |