NPI | 1063525509 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CT 54906) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 54906) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2017-03-20 |