| NPI | 1972597037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IA 24398) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 24398) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2008-01-22 |