| NPI | 1346204195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD030158E) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD030158E) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2018-03-17 |