| NPI | 1164483392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL 21655) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 21655) |
| 207X00000X Orthopaedic Surgery (Licence: TN 31085) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN 31085) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-05-08 |