| NPI | 1538169883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 22521) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OK 22521) |
| 202C00000X Independent Medical Examiner (Licence: OK 22521) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OK 22521) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2022-07-12 |