| NPI | 1407805666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 82939) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 82939) |
| 207X00000X Orthopaedic Surgery (Licence: TN 45554) | |
| 207X00000X Orthopaedic Surgery (Licence: NY 226116) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: TN 45554) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-02-08 |