| NPI | 1073698999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 065733) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 25-28056) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-09-26 |