| NPI | 1073627972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA 210441) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 210441) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MA 210441) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-12-23 |