| NPI | 1356308316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID O-0443) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID O0443) |
| 207X00000X Orthopaedic Surgery (Licence: FL OS9764) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-10-22 |