| NPI | 1770677759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0027275) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME43996) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-03-18 |