| NPI | 1831694843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD486429) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 1014836) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2024-08-20 |