| NPI | 1841396652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD00038947) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR OR MD22636) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |