| NPI | 1184972481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0102439) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101255496) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2025-07-16 |