| NPI | 1376510735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0056142) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC MD30102) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2020-01-21 |