| NPI | 1376569327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL 19112) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 19112) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AL 19112) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2025-09-11 |