| NPI | 1043279235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI LF073669) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MI LF073669) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2021-06-28 |