NPI | 1003043506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 23036) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MS 23036) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2017-03-22 |