| NPI | 1437111267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-10746) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 42650) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2009-09-21 |