| NPI | 1144232042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SD 8782) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: HI 13909) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2018-11-06 |