| NPI | 1619945896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX J8690) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX J8690) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2023-08-22 |