| NPI | 1427468453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-16494) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX R3897) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX R3897) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2024-02-22 |