NPI | 1023197159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: HI MD-11324) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A78934) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2021-06-30 |