NPI | 1982662474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MO 2024034861) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MI 4301108728) |
207X00000X Orthopaedic Surgery (Licence: MO 2024034861) | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2024-08-27 |