NPI | 1639305139 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA L-240018) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-240018) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2023-08-06 |