| NPI | 1356358816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D28698) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0028698) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-11-25 |