| NPI | 1073771671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E6926) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT186628) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2011-10-22 |