| NPI | 1316936883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL MD.20722) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 00020722) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2023-04-17 |