| NPI | 1538168117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: RI MD07085) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 034988) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2013-09-12 |