| NPI | 1952326373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 360134-1205) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 3601341205) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-11-18 |