| NPI | 1851576433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA MD201663) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD150822) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2021-04-23 |