NPI | 1285616433 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME0066647) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME66647) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2015-06-25 |