| NPI | 1457324659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 200001597) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 26864) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2014-06-04 |