NPI | 1245277573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MS 11542) |
Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: MS 11542) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2015-07-14 |