| NPI | 1972787927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: TX N3853) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX N3853) |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: TX N3853) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TX N3853) | |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: TX N3853) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX N3853) | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: TX N3853) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: TX N3853) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: TX N3853) | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: TX N3853) | |
| 208200000X Plastic Surgery (Licence: TX N3853) | |
| 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: TX N3853) | |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: TX N3853) | |
| 2086S0120X Surgery Pediatric Surgery (Licence: TX N3853) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2022-10-27 |