| NPI | 1427228154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 47745) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0102202188) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2017-02-14 |