NPI | 1639332539 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD60457002) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ R70624) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A126143) | |
Enumeration Date | 2008-07-10 |
Last Update Date | 2023-09-27 |