NPI | 1497259345 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 58994) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2023015205) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: KY 58994) | |
Enumeration Date | 2018-03-23 |
Last Update Date | 2024-07-10 |