NPI | 1700828555 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 055733) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD211513) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 055733) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2022-07-19 |