| NPI | 1013185867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0068990) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC MD038072) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: DC MD038072) | |
| 207X00000X Orthopaedic Surgery (Licence: CA A104485) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A104485) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MD D0068990) | |
| 207X00000X Orthopaedic Surgery (Licence: NC 2010-00674) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NC 2010-00674) | |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2011-09-22 |