| NPI | 1144429069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WA MD60453928) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD60453928) |
| 207X00000X Orthopaedic Surgery (Licence: WA MD60453928) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2026-07-13 |