| NPI | 1447222385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA MD-32952) |
| Additional Taxonomies | 174400000X Specialist (Licence: IA E60072) |
| Enumeration Date | 2006-02-04 |
| Last Update Date | 2017-03-10 |