| NPI | 1144224197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 027381) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL 0S0006046) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2008-06-24 |