| NPI | 1457304784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: VA 0101223871) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101223871) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101223871) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-08-15 |