NPI | 1043253586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0054887) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MD D0054887) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MD D0054887) | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2010-05-18 |