NPI | 1700860236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NE 15374) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NE 15374) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2008-01-23 |