| NPI | 1407082514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD444065) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT194497) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2022-08-26 |