| NPI | 1528401064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TX V3272) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX V3272) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX V3272) | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2024-10-23 |