| NPI | 1356600340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD450260) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 077150) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2022-06-27 |