| NPI | 1427062249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX 45893) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 33923) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NC 33923) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-10-11 |