| NPI | 1346247665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 47048) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 46991) |
| 207X00000X Orthopaedic Surgery (Licence: MN 47048) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 46991) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2024-08-16 |