| NPI | 1326249392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101250024) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 24328) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD443082) | |
| 207X00000X Orthopaedic Surgery (Licence: NC 171329) | |
| 207X00000X Orthopaedic Surgery (Licence: MD D79380) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2015-04-21 |