| NPI | 1528088101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0044853) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC MD19329) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-09-19 |