| NPI | 1831140581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 28695) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: SC 28695) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 044024) | |
| 207X00000X Orthopaedic Surgery (Licence: GA 044024) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-09-25 |