| NPI | 1841583366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 37391) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13251) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2014-10-08 |