| NPI | 1811972375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A51026) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA A51026) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2011-12-02 |