| NPI | 1376598615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 4788500-1205) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: UT 4788500-1205) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2021-11-03 |