| NPI | 1336136910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 40834) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 040834) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2015-08-20 |