| NPI | 1730394669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK MEDS8334) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0071677) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-10-03 |