NPI | 1205925070 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA MD015745) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA MD.015745) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2008-09-17 |