| NPI | 1568411338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 066351) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 48724) |
| 207X00000X Orthopaedic Surgery (Licence: GA 066351) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL MD.29445) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01067922A) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-01-24 |