| NPI | 1275723033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX N5975) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10021950) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2013-11-13 |