| NPI | 1922239581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD60446948) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 543919) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2022-08-02 |