| NPI | 1336157502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2006-01309) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 013824) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2015-12-22 |