NPI | 1225297997 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: HI 18249) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A128254) |
Enumeration Date | 2008-06-06 |
Last Update Date | 2015-09-28 |