NPI | 1467435263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 14577) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MS 14577) |
Enumeration Date | 2005-11-25 |
Last Update Date | 2013-11-09 |