| NPI | 1326485319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX R7815) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX R7815) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2026-04-30 |