| NPI | 1912062753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX L9307) |
| Additional Taxonomies | 174400000X Specialist |
| 207X00000X Orthopaedic Surgery (Licence: TX L9307) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2024-05-22 |