| NPI | 1275575987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0057506) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC MD500003146) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2024-09-25 |