| NPI | 1689871337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX Q7462) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 14915) |
| 207X00000X Orthopaedic Surgery (Licence: TX Q7462) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2022-10-30 |