| NPI | 1831132430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: TX M6212) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX M6212) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-07-18 |