| NPI | 1972554517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME61390) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME61390) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2014-08-27 |