NPI | 1104323286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MD D0101580) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0101580) |
Enumeration Date | 2018-04-06 |
Last Update Date | 2024-09-18 |