| NPI | 1538114368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA MD-41355) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00044535) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-02-25 |