| NPI | 1801008842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: VA 0102202837) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0102202837) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-04-10 |