| NPI | 1992772248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2006-00977) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD H54427) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2016-12-19 |