NPI | 1043400641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OK 29497) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA MD.202600) |
207X00000X Orthopaedic Surgery (Licence: SC 40807) | |
Enumeration Date | 2007-07-30 |
Last Update Date | 2021-03-16 |