| NPI | 1902863525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MD D0033077) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD M31666) |
| 207X00000X Orthopaedic Surgery (Licence: MD D0033077) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2010-07-22 |