NPI | 1154379261 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 31391) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 031391) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CT 31391) | |
Enumeration Date | 2006-05-04 |
Last Update Date | 2021-07-23 |