NPI | 1376582486 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 43239) |
Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CO 43239) |
207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CO 43239) | |
Enumeration Date | 2006-06-05 |
Last Update Date | 2013-12-19 |