| NPI | 1972681740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR md27279) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A62791) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |