| NPI | 1467967638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OH 35.146390) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.146390) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: PA MD488526) | |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2026-06-26 |