NPI | 1326057852 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD199243) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 8253) |
207X00000X Orthopaedic Surgery (Licence: NC 2017-00085) | |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NC 2017-00085) | |
Enumeration Date | 2006-08-05 |
Last Update Date | 2020-11-04 |