| NPI | 1487739785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX Q3037) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 229016) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 40622) | |
| 207X00000X Orthopaedic Surgery (Licence: CA 103377) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-01-26 |