| NPI | 1346257870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA MD.202856) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC LL27093) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2010-09-20 |