NPI | 1407946403 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 34845) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: KY 34845) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2023-03-07 |