| NPI | 1609210111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ 71532) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 313322) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2025-07-31 |