| NPI | 1437132792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO DR.0033512) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CO DR.0033512) |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0033512) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2026-02-05 |