| NPI | 1255432001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 168731-1205) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: UT 168731-1205) |
| 2086S0127X Surgery, Trauma Surgery (Licence: UT 168731-1205) | |
| 208600000X Surgery (Licence: UT 168731-1205) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-11-23 |