NPI | 1952348237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 35279) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ 35279) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2022-02-25 |