| NPI | 1326337981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NE 29859) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 9756658-1205) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2018-10-31 |