| NPI | 1033186309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NE 19725) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA MD-33081) |
| 207X00000X Orthopaedic Surgery (Licence: NE 19725) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IA MD-33081) | |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2022-06-23 |