| NPI | 1275591570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PR 10521) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: PR 10521) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PR 10521) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PR 10521) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-08-07 |