| NPI | 1063567782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D60798) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101054627) |
| 207X00000X Orthopaedic Surgery (Licence: DC MD32988) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-06-28 |