| NPI | 1700910155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL MD.28879) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 054468) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-08-12 |