| NPI | 1326494642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA MD-46150) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL L4364F) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IA MD-46150) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IA MD-46150) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IA MD-46150) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IA MD-46150) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2023-11-16 |