| NPI | 1376699041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD27780) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD27780) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OR MD27780) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OR MD27780) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-08-29 |