| NPI | 1578525051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 10418) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NH 10418) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NH 10418) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2011-10-07 |