NPI | 1871593285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 040138) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 040138) |
Enumeration Date | 2005-07-28 |
Last Update Date | 2008-07-02 |