NPI | 1760617526 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX Q5202) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q5202) |
Enumeration Date | 2009-05-22 |
Last Update Date | 2025-08-18 |