NPI | 1275737280 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 119676) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 247323) |
207X00000X Orthopaedic Surgery (Licence: NY 247323) | |
207X00000X Orthopaedic Surgery (Licence: PA MD432648) | |
Enumeration Date | 2007-06-13 |
Last Update Date | 2017-03-01 |