| NPI | 1770531626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: NC 9300569) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 9300569) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2016-11-14 |