| NPI | 1578191797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DC MD600005954) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0106853) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2026-06-29 |