| NPI | 1144214032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA 216571) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 216571) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2024-06-11 |