NPI | 1538429246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IA MD-46253) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA MD-46253) |
Enumeration Date | 2012-05-29 |
Last Update Date | 2023-11-20 |