| NPI | 1265708093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DC MD210002420) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D094524) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2025-06-13 |