| NPI | 1053897652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MA062469) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD C0006859) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2024-05-10 |