NPI | 1194989012 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NV 15233) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 15233) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2021-12-22 |