NPI | 1922075779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN MD4195) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN 4195) |
Enumeration Date | 2006-03-01 |
Last Update Date | 2012-07-26 |