| NPI | 1841426475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD455013) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL 14107) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2023-07-27 |