| NPI | 1366583270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 079989) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0072717) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-08-01 |