| NPI | 1134150428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101042023) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 013246) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-07-11 |