| NPI | 1396884391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2010-0135) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR md28649) |
| 207X00000X Orthopaedic Surgery (Licence: NM 2002-0010) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2018-05-10 |