| NPI | 1437612363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 11899050-1205) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CO DR.0072401) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-07-17 |