| NPI | 1023194883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX R7693) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00024030) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX R7693) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2022-07-26 |