| NPI | 1407801483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 21279) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL 21279) |
| 208600000X Surgery (Licence: MS 21279) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2025-04-29 |