NPI | 1578797940 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX Q2332) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX Q2332) |
Enumeration Date | 2009-05-13 |
Last Update Date | 2018-08-29 |