NPI | 1265930994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 1008) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MN 1008) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 1008) | |
Enumeration Date | 2018-01-29 |
Last Update Date | 2020-08-20 |