| NPI | 1588082846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME146457) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 13639) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01097661B) | |
| 207X00000X Orthopaedic Surgery (Licence: WI 13639) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2025-10-17 |