NPI | 1184752743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 17403) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO 17403) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2009-10-28 |