NPI | 1528487436 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD474669) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA11173500) |
207X00000X Orthopaedic Surgery (Licence: IL 036153327) | |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036153327) | |
Enumeration Date | 2014-04-08 |
Last Update Date | 2021-11-19 |