NPI | 1760914758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME163897) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME163897) |
Enumeration Date | 2017-03-30 |
Last Update Date | 2025-06-17 |