| NPI | 1376767780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD437485) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2008-00845) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD437485) | |
| 207X00000X Orthopaedic Surgery (Licence: SC LL29629) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2024-08-20 |