| NPI | 1740232156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2023-1644) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX L8016) |
| 207X00000X Orthopaedic Surgery (Licence: TX L8016) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-04-29 |