| NPI | 1306834643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-6608) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD13079) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2007-07-09 |