NPI | 1285625327 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX F7125) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TX F7125) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX F7125) | |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX F7125) | |
Enumeration Date | 2005-10-28 |
Last Update Date | 2015-10-16 |