NPI | 1578511697 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 4001) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OK 4001) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OK 4001) | |
Enumeration Date | 2006-05-04 |
Last Update Date | 2019-07-10 |