NPI | 1023179975 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2018-02298) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL TRN9011) |
207X00000X Orthopaedic Surgery (Licence: TX N6585) | |
207X00000X Orthopaedic Surgery (Licence: GA 060783) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-10-26 |