NPI | 1609162577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 266527) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT196787) |
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MA 266527) | |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA 266527) | |
Enumeration Date | 2011-06-20 |
Last Update Date | 2024-04-30 |