| NPI | 1558350181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX H0207) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H0207) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-07-27 |