| NPI | 1326044041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA MD-48023) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 33093) |
| 207X00000X Orthopaedic Surgery (Licence: SD 5144) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2023-12-15 |