NPI | 1871728493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-14713) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WY 10187A) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: ID M-14713) | |
Enumeration Date | 2009-05-27 |
Last Update Date | 2020-03-16 |