NPI | 1487658910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME42453) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME42453) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME42453) | |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME42453) | |
Enumeration Date | 2005-06-13 |
Last Update Date | 2016-04-18 |