| NPI | 1053472712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL 28933) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME84712) |
| 207X00000X Orthopaedic Surgery (Licence: AL 28933) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: AL 28933) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-02-09 |