NPI | 1003880964 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 69632) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101233236) |
207X00000X Orthopaedic Surgery (Licence: MD D0078710) | |
Enumeration Date | 2006-02-15 |
Last Update Date | 2022-11-15 |