| NPI | 1528257730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL MD.46414) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.46414) |
| 207X00000X Orthopaedic Surgery (Licence: TX BP10024844) | |
| 207X00000X Orthopaedic Surgery (Licence: FL ME109657) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME109657) | |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2023-12-06 |