| NPI | 1467660613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 51757) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 51757) |
| 207X00000X Orthopaedic Surgery (Licence: WI 52789) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 52789) | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2024-08-16 |