| NPI | 1295976280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA MD.206876) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA MD.206876) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2014-11-25 |