| NPI | 1386175727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101281004) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 294910) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA 294910) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-01-12 |