| NPI | 1568788537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX Q6659) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0072876) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO DR.0072876) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2025-02-20 |