| NPI | 1114942307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 05302R) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: LA 05302R) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-08-26 |