| NPI | 1770531758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: TX M0253) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX M0253) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-10-24 |