| NPI | 1982861738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D76562) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC MD038433) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: DC MD038433) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2025-03-31 |