| NPI | 1245421676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-8194) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10027823) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2013-08-20 |