| NPI | 1801864343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101238208) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0058682) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2008-05-23 |