NPI | 1265810733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 31497) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2020010482) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MO 2020010482) | |
Enumeration Date | 2015-05-15 |
Last Update Date | 2023-06-21 |