| NPI | 1093786113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: SC DO95362) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD H60485) |
| 207X00000X Orthopaedic Surgery (Licence: GA 51188) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2025-11-25 |