NPI | 1861682791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: LA MD.202839) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 46409) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2022-07-21 |