| NPI | 1437108206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2009-00544) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 47151) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2012-09-06 |