| NPI | 1326284134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WV 2459) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OS013454) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2015-12-21 |