| NPI | 1295991156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD164786) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD164786) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2023-12-07 |