| NPI | 1326087651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO DR.0032975) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0032975) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CO DR.0032975) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2024-04-11 |