NPI | 1326278110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME119690) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: FL ME119690) |
Enumeration Date | 2009-07-15 |
Last Update Date | 2023-09-06 |