| NPI | 1588854327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX P5739) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AK 232979) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2025-02-21 |