| NPI | 1356320493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX F1513) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX F1513) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2013-10-28 |