NPI | 1568485803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD429568) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08399100) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA MD429568) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2024-09-25 |