| NPI | 1053565143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A109863) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A109863) |
| Enumeration Date | 2008-11-16 |
| Last Update Date | 2024-03-04 |