| NPI | 1598105934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ND 13673) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10034047) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2020-06-22 |