| NPI | 1801823703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0017653) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC MD9064) |
| 207X00000X Orthopaedic Surgery (Licence: VA 01010248450) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2019-05-22 |