| NPI | 1437157344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 9412) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 9412) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OK 9412) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2012-09-07 |