| NPI | 1326140567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NH 14649) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH RT 1319) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2017-03-07 |