NPI | 1538458526 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX R2822) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX R2822) |
Enumeration Date | 2011-03-30 |
Last Update Date | 2018-03-17 |