| NPI | 1447419619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX Q1326) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 65913) |
| 207X00000X Orthopaedic Surgery (Licence: SC 36201) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TX Q1326) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2022-11-04 |