| NPI | 1932773397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL MD.53486) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC LL86221) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2026-07-14 |