NPI | 1306941562 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD067446L) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA MD067446L) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2019-01-31 |