| NPI | 1497724793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 15537) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 217747) |
| 207X00000X Orthopaedic Surgery (Licence: VA 010220188) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2015-12-17 |