| NPI | 1487606257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101027101) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101027101) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-02-25 |