| NPI | 1457340481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-8080) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID M8080) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2014-10-22 |