| NPI | 1861698839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 9900241) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 9900241) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2012-10-03 |