| NPI | 1316217862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DC MD048774) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D88343) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2022-10-10 |