| NPI | 1295700110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: PA MD423193) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 41491) |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: NC 200600137) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2015-05-06 |