| NPI | 1699989582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX N9376) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX N9376) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2021-11-04 |