| NPI | 1508253071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD480992) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 323387) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-07-17 |