NPI | 1578566147 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: GA 041688) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 041688) |
Enumeration Date | 2005-05-27 |
Last Update Date | 2013-12-05 |