| NPI | 1912996158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL MD.13298) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 00013298) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2023-04-17 |