NPI | 1790980381 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD468320) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA MD468320) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2019-07-29 |