| NPI | 1881109411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MA065220) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD C0006693) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2024-02-02 |