| NPI | 1174579874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX K3391) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX K3391) |
| 207X00000X Orthopaedic Surgery (Licence: LA 12182R) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-03-01 |