| NPI | 1174553697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX Q7357) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 044201) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA C138598) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2024-02-20 |