| NPI | 1225233489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX P6182) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 14344) |
| 207X00000X Orthopaedic Surgery (Licence: SC 30053) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NV 14344) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-10-19 |