| NPI | 1588701866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX R1431) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MN 73279) |
| 207X00000X Orthopaedic Surgery (Licence: TX R1431) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-09-04 |