| NPI | 1316933914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH LT-2804) |
| Additional Taxonomies | 174400000X Specialist (Licence: VT 0420005877) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2009-06-19 |