| NPI | 1487394391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IA MD-53747) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA MD-53747) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: IA MD-53747) | |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-08-26 |