| NPI | 1851667489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.133494) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 147025) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2018-10-25 |