| NPI | 1427018514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD068134L) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA MD068134L) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD068134L) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2021-02-12 |