| NPI | 1528036837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX U1166) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 317334) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA 20A8500) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA 20A8500) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2025-04-15 |