NPI | 1376857151 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 066480) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 66480) |
Enumeration Date | 2010-08-04 |
Last Update Date | 2023-05-19 |