NPI | 1023025632 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 073631) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN MD47860) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2023-01-14 |