| NPI | 1689845299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 13569) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD432227) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: NV 13569) | |
| Enumeration Date | 2008-03-23 |
| Last Update Date | 2013-07-17 |