| NPI | 1396705679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2017-00751) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 8938) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-06-04 |