| NPI | 1942347216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO DR.0045829) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0045829) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-04-19 |