| NPI | 1992752356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD423772) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 070349) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2023-03-07 |