| NPI | 1508839812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 26784) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX M5108) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01081953A) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TX M5108) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX M5108) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX M5108) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2023-04-13 |