NPI | 1669445243 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 218962) |
Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: MA 218962) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2020-06-01 |