NPI | 1437159498 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD17530) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: OR MD17530) |
Enumeration Date | 2005-07-29 |
Last Update Date | 2008-03-13 |