| NPI | 1942231451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0023095) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101030433) |
| 207X00000X Orthopaedic Surgery (Licence: DC MD11432) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-09-27 |