| NPI | 1528165081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 56037-20) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 53990) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2018-08-29 |