| NPI | 1669783973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 35324) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2015004629) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2016-07-28 |