| NPI | 1922434893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: MT 24162) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MT 24162) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |