| NPI | 1487723680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DC MD13699) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101056670) |
| 207X00000X Orthopaedic Surgery (Licence: MD D27880) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2024-09-25 |