NPI | 1346247665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 47048) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 46991) |
207X00000X Orthopaedic Surgery (Licence: MN 47048) | |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 46991) | |
Enumeration Date | 2005-07-01 |
Last Update Date | 2024-08-16 |