NPI | 1891728457 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN MD41381) |
Additional Taxonomies | 174400000X Specialist (Licence: TN 620988417) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2012-11-07 |