| NPI | 1669527362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NH 16689) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 221187) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-02-17 |