| NPI | 1184642977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL MD29249) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 29249) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2009-11-11 |