| NPI | 1912962176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A77608) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A77608) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2013-04-02 |