| NPI | 1952523607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 20954) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 001226) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-07-27 |