| NPI | 1679537435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD421803) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0078545) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2024-04-02 |