| NPI | 1154413227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX K0005) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0069819) |
| 207X00000X Orthopaedic Surgery (Licence: TN 69529) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX K0005) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-09-08 |