| NPI | 1275894461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD225448) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0058700) |
| 207X00000X Orthopaedic Surgery (Licence: ND 222577) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2025-09-24 |