| NPI | 1780975433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD460703) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT199063) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2022-07-21 |