| NPI | 1023547858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NE 35712) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 7912) |
| 207X00000X Orthopaedic Surgery (Licence: IA MD-51780) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-03-28 |