| NPI | 1801995485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 30866) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 92145) |
| 207X00000X Orthopaedic Surgery (Licence: CO CDR.0004337) | |
| 207X00000X Orthopaedic Surgery (Licence: TX V0314) | |
| 207X00000X Orthopaedic Surgery (Licence: NH EL11398) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CO CDR.0004337) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-10-18 |