NPI | 1871121657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO DR.0074699) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0074699) |
Enumeration Date | 2020-03-29 |
Last Update Date | 2025-07-22 |