| NPI | 1841218617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E7329) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC LL29147) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-08-27 |