| NPI | 1871580621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX L1974) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: TX L1974) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX L1974) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: TX L1974) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2013-08-05 |