NPI | 1902062227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IA 38490) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A108055) |
207X00000X Orthopaedic Surgery (Licence: IA 38490) | |
207X00000X Orthopaedic Surgery (Licence: IL 036-123886) | |
Enumeration Date | 2008-08-06 |
Last Update Date | 2017-02-01 |