| NPI | 1932286051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WV 22964) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NC 55049) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: PA MD435644) | |
| 207X00000X Orthopaedic Surgery (Licence: PA MD435644) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-02-22 |