| NPI | 1447670666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: VA 0102208055) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA FH9306451) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA OS019768) | |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2024-12-17 |