| NPI | 1689669806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME109560) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0047177) |
| 207X00000X Orthopaedic Surgery (Licence: DC MD034714) | |
| 207X00000X Orthopaedic Surgery (Licence: NY 1940141) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2015-06-19 |