| NPI | 1467618058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 45459) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD438896) |
| Enumeration Date | 2008-08-02 |
| Last Update Date | 2024-07-24 |