NPI | 1013915479 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2019-02899) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OS008034L) |
Enumeration Date | 2005-07-11 |
Last Update Date | 2020-12-29 |