NPI | 1598746026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA MD050270L) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD050270L) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2024-08-20 |