NPI | 1649615329 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 63137-20) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 63137-20) |
Enumeration Date | 2013-05-07 |
Last Update Date | 2024-12-05 |