| NPI | 1528329208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: OK 29231) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 29231) |
| 207X00000X Orthopaedic Surgery (Licence: MS 24810) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MS 24810) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2019-07-02 |