| NPI | 1053817668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 48306) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0097400) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101278406) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-08-01 |