NPI | 1134479736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.130276) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA MT201805) |
207X00000X Orthopaedic Surgery (Licence: PA MD449760) | |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: OH 35.130276) | |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA MD449760) | |
Enumeration Date | 2012-09-12 |
Last Update Date | 2020-05-06 |