| NPI | 1326334293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101262872) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0081653) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2022-07-21 |