| NPI | 1548213267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 56282) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX K6097) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-09-08 |