| NPI | 1831247956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D76502) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 018417) |
| 207X00000X Orthopaedic Surgery (Licence: DC MD041743) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2017-12-08 |