NPI | 1326327149 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 125.059018) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 04-36668) |
207X00000X Orthopaedic Surgery (Licence: IA MD-42289) | |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA MT202820) | |
Enumeration Date | 2011-08-10 |
Last Update Date | 2018-03-02 |