| NPI | 1154577369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX P0193) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX AR 3354292) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX P0193) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2024-07-01 |