| NPI | 1336122746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD475767) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 044778) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2022-09-19 |