| NPI | 1013914530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2006-0847) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX M7772) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2024-06-01 |