NPI | 1285703728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 5353) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NV 5353) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2013-03-11 |