| NPI | 1326206335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD208281) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: PA MT190572) |
| 207X00000X Orthopaedic Surgery (Licence: PA MT190572) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2022-01-25 |