NPI | 1972737153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD60771590) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: HI MD-19296) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: HI MD-19296) | |
Enumeration Date | 2009-05-04 |
Last Update Date | 2024-06-03 |