| NPI | 1689625683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MD D0055465) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D55465) |
| Enumeration Date | 2006-05-14 |
| Last Update Date | 2008-03-19 |