| NPI | 1144296336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: VA 0101045340) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101045340) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 160255) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-07-09 |