| NPI | 1710129408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 63075) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10016960) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME107624) | |
| 207X00000X Orthopaedic Surgery (Licence: GA 063075) | |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2022-09-13 |