| NPI | 1225038383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX J6798) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AR E2229) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2021-06-23 |