| NPI | 1952625840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0066063) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME127248) |
| 207X00000X Orthopaedic Surgery (Licence: UT 9338988-1205) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: VA 0101269306) | |
| 208D00000X General Practice (Licence: UT 9338988-1205) | |
| 208D00000X General Practice (Licence: NE 26348) | |
| Enumeration Date | 2010-03-21 |
| Last Update Date | 2023-08-23 |