| NPI | 1376746974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MO 2009007674) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 1065048A) |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2010-03-08 |