| NPI | 1144541210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E9769) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 27804) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME122841) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2016-09-30 |