| NPI | 1427152636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA 28155) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SD 3409) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2010-09-29 |