| NPI | 1346760089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX U5985) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10059623) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2023-08-07 |