| NPI | 1871856450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX R6516) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2017-00802) |
| 207X00000X Orthopaedic Surgery (Licence: TX R6516) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NC 2017-00802) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-05-27 |