| NPI | 1285898569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MT 32989) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX N8614) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2023-11-27 |