NPI | 1184091118 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MO 2015015737) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2015015737) |
Enumeration Date | 2015-08-25 |
Last Update Date | 2022-09-02 |