| NPI | 1548540792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX P8054) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX P8054) |
| 207X00000X Orthopaedic Surgery (Licence: TX AT2238245-0162) | |
| 207X00000X Orthopaedic Surgery (Licence: NC 2014-00980) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2023-12-14 |