| NPI | 1528292166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD489621) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 123520) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 51015) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: PA MD489621) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2025-08-01 |