| NPI | 1356545396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 52603) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR0051572) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2018-06-22 |