| NPI | 1982605671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ 10038) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 10038) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: AZ 10038) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: AZ 10038) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AZ 10038) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2014-02-10 |