| NPI | 1801838248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 2036552) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VT 042-0011130) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2015-02-20 |