| NPI | 1982784336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MI 5101012656) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101012656) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-02-21 |