NPI | 1861432759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NC 9800917) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 9800917) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2021-09-22 |