NPI | 1306889886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX L6999) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX L6999) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2016-08-17 |