NPI | 1023091444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 95-01099) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: NC 95-01099) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2010-05-12 |