| NPI | 1396078200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: FL OS13167) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX P9266) |
| 207X00000X Orthopaedic Surgery (Licence: FL OS13167) | |
| 207X00000X Orthopaedic Surgery (Licence: OK 5680) | |
| 207X00000X Orthopaedic Surgery (Licence: NH 22603) | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2022-06-29 |