| NPI | 1427686898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0107330) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 1022131) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2026-08-11 |