| NPI | 1467455071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME42261) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 026040) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2014-07-14 |