NPI | 1588856298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA 202273) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA MD.202273) |
Enumeration Date | 2007-08-16 |
Last Update Date | 2025-02-26 |