| NPI | 1689623415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 57010) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: GA 057010) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2013-04-17 |