| NPI | 1285193375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2024-0234) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NM MD2024-0234) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-04-11 |