| NPI | 1316945876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-10680) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: ID M-10680) |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: ID M-10680) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: ID M-10680) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2023-12-22 |