| NPI | 1063476349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD038406E) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD038406E) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2018-12-31 |