| NPI | 1386632347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 6061) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR md11717) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2007-10-22 |