| NPI | 1861462095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ND PT15096) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: SD 5463) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2018-06-06 |