NPI | 1316945876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-10680) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: ID M-10680) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: ID M-10680) | |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: ID M-10680) | |
Enumeration Date | 2005-07-08 |
Last Update Date | 2023-12-22 |