| NPI | 1326357666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX S3117) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX S3117) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 285955) | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2021-10-27 |