| NPI | 1144273780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD201313) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 11452) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NV 11452) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-03-16 |