| NPI | 1689870214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0087817) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD448330) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2019-10-04 |