| NPI | 1730143660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 039020) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 039020) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2008-05-28 |