NPI | 1053572925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX P6807) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: TX P6807) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2020-05-29 |