NPI | 1578875092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX Q9510) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q9510) |
Enumeration Date | 2010-07-13 |
Last Update Date | 2025-08-05 |