NPI | 1942499355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 45243) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 57013901) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: KY 45243) | |
Enumeration Date | 2007-10-22 |
Last Update Date | 2022-08-19 |