| NPI | 1871753939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A126329) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 26521) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2016-02-03 |