NPI | 1174524714 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 9942) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ 9942) |
Enumeration Date | 2005-08-04 |
Last Update Date | 2012-01-05 |