| NPI | 1437564556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD471703) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 11017883A) |
| 207X00000X Orthopaedic Surgery (Licence: PA TMD005019) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2020-10-26 |