| NPI | 1992777049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA MD-36193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-36193) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2015-01-05 |