| NPI | 1144331877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0072763) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 023840) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-02-21 |