| NPI | 1245385046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 026221) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 27971) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-07-19 |