| NPI | 1518960087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M5158) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID M-5158) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2009-12-14 |