| NPI | 1952312092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 42661) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A96167) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2017-02-14 |