NPI | 1558387506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 13003) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AL 13003) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL 13003) | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2023-03-07 |