| NPI | 1487871828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NH 15039) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH 15039) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MA 254819) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-09-03 |