NPI | 1528293750 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME120473) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: FL ME120473) |
Enumeration Date | 2009-05-18 |
Last Update Date | 2024-07-11 |