| NPI | 1811968365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 46907) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 46907) |
| 207X00000X Orthopaedic Surgery (Licence: SD 7582) | |
| 207X00000X Orthopaedic Surgery (Licence: IA 38587) | |
| 207X00000X Orthopaedic Surgery (Licence: NE 25360) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2024-08-16 |