NPI | 1467449827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD166994) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036105293) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 43003-020) | |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA L09261R) | |
Enumeration Date | 2005-09-30 |
Last Update Date | 2015-04-27 |