| NPI | 1922072016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 25025) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA MD.207799) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2015-12-09 |