| NPI | 1740497882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD463278) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 0434031) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-01-26 |