NPI | 1639167554 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D63065) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MD D63065) |
Enumeration Date | 2005-10-13 |
Last Update Date | 2023-01-27 |