| NPI | 1548213267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35C.000087) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX K6097) |
| 207X00000X Orthopaedic Surgery (Licence: TN 56282) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-11-19 |