| NPI | 1235127101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD029924E) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA ME029924E) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2017-03-21 |