| NPI | 1871607465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101277831) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: DC MD15673) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: DC MD15673) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: DC MD15673) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2023-09-01 |