NPI | 1265410658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 13229) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL 13229) |
Enumeration Date | 2006-01-05 |
Last Update Date | 2010-01-20 |