| NPI | 1457303026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 034331) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 28719) |
| 207X00000X Orthopaedic Surgery (Licence: GA 034331) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: SC 28719) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-04-03 |