| NPI | 1326262312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: GA 78022) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 078022) |
| 207X00000X Orthopaedic Surgery (Licence: OH 35.091760) | |
| 207X00000X Orthopaedic Surgery (Licence: TX P5797) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-09-08 |