| NPI | 1700979853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX J4817) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX J4817) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: TX J4817) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX J4817) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TX J4817) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX J4817) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-09-16 |