NPI | 1083761779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX F7145) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: TX F7145) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2014-09-10 |