| NPI | 1891721742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0064251) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0064251) |
| 207X00000X Orthopaedic Surgery (Licence: DC MD037854) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2025-10-31 |