NPI | 1992787402 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME0076748) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME76748) |
Enumeration Date | 2005-11-18 |
Last Update Date | 2012-10-01 |