| NPI | 1396734422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 29118) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 042267) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2012-09-05 |