| NPI | 1093377913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL OS23687) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5151013559) |
| 207X00000X Orthopaedic Surgery (Licence: FL OS23687) | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2026-08-16 |