| NPI | 1447696638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: DC MD047418) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC MD047418) |
| 207X00000X Orthopaedic Surgery (Licence: PA MT203830) | |
| 207X00000X Orthopaedic Surgery (Licence: MA 273882) | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2021-11-29 |