| NPI | 1932555067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD201513) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 32309) |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2021-07-15 |