| NPI | 1356560692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: AR E6542) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2010-00775) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2015-09-22 |