| NPI | 1356385371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: MD D0031919) |
| Additional Taxonomies | 208VP0000X (Licence: NM MD2017-0572) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD039475L) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2025-10-21 |