| NPI | 1225005358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 35.092690) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX L6067) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX L6067) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2025-01-14 |