| NPI | 1437137502 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX G0432) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX G0432) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2012-12-20 |