| NPI | 1881601607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WY 9838A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A40334) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2015-02-02 |