NPI | 1194753210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 21989) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OK 21989) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2014-03-05 |