| NPI | 1386006146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX U2894) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 10511607-1205) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: UT 10511607-1205) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TX U2894) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-09-07 |