| NPI | 1780662999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 37286) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: CO 37286) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2010-07-10 |