NPI | 1851392450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: AZ 31430) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 31430) |
207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: AZ 31430) | |
2080S0010X Pediatrics Sports Medicine (Licence: AZ 31430) | |
207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: AZ 31430) | |
Enumeration Date | 2005-08-03 |
Last Update Date | 2015-01-13 |