| NPI | 1457309098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 28692) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: LA MD 024907) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: SC 28692) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2017-04-17 |