| NPI | 1225473671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX R9974) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10047226) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2022-09-21 |