| NPI | 1780725051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD448347) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 41982) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2023-12-13 |