NPI | 1588787899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 59800) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 59800) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2024-03-11 |