| NPI | 1568425718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0056267) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MD D0056267) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MD D0056267) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MD D0056267) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MD D0056267) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2012-03-12 |