| NPI | 1710148085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD211906) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0052274) |
| 207X00000X Orthopaedic Surgery (Licence: LA md.310385) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2022-10-28 |