| NPI | 1649412990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: VA 0101254902) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101254902) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2016-06-22 |