NPI | 1972570661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN 9389) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN MD9389) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2014-05-15 |