NPI | 1891784633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 36464) |
Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: WI 36464) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 36464) | |
Enumeration Date | 2005-10-14 |
Last Update Date | 2024-03-14 |