NPI | 1326044686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 319067) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM 2005-0142) |
207X00000X Orthopaedic Surgery (Licence: SC 21387) | |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: SC 21387) | |
Enumeration Date | 2005-06-22 |
Last Update Date | 2022-10-07 |