| NPI | 1093851123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX N7156) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA mt180035) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AZ 40390) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-02-05 |