| NPI | 1215963368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OR MD26351) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD26351) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2025-04-01 |