NPI | 1609988260 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 14961) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: SC 14961) |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: SC 14961) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-02-07 |