| NPI | 1992181895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D97977) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC MD210012309) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101263427) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2024-04-16 |