| NPI | 1891737979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX K7858) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K7858) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX K7858) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-08-21 |