| NPI | 1891003034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL L.3421R) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-243595) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2011-11-29 |