| NPI | 1225055734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME129953) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX M6538) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-02-15 |