| NPI | 1669683405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 20606) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS au5009697-756) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MS 20606) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MS 20606) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-01-26 |