| NPI | 1437118254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 00005785) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME90799) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01023439A) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2015-01-15 |