| NPI | 1477888022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2013-0023) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ND 7776) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2018-05-04 |