NPI | 1134172372 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 200001448) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: NC 200001448) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2024-05-14 |