NPI | 1609133107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA MD-44763) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IA MD-44763) |
Enumeration Date | 2012-04-20 |
Last Update Date | 2018-02-09 |