| NPI | 1497138804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: TX T1929) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A168900) |
| 207X00000X Orthopaedic Surgery (Licence: TX T1929) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2023-05-04 |