| NPI | 1275701963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-6150) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD428274) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2014-01-27 |