NPI | 1427549120 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL MD.46130) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.46130) |
Enumeration Date | 2018-05-29 |
Last Update Date | 2024-08-20 |