| NPI | 1497752307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 37449) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 37449) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-02-14 |