| NPI | 1831167733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX E7434) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: TX E7434) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX E7434) | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: TX E7434) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: TX E7434) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2014-01-30 |