| NPI | 1417971706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 52466-20) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 24874) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2010-09-23 |