| NPI | 1750673547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL TRN# 15911) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX U7521) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX U7521) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2024-12-10 |