| NPI | 1538120639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 046666) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: GA 046666) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 046666) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2022-07-21 |