| NPI | 1063775351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MD D0099054) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC MD500002586) |
| 207X00000X Orthopaedic Surgery (Licence: MD D0099054) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: DC MD500002586) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2024-09-03 |