| NPI | 1942797667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD486008) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 1015478) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-09-19 |