NPI | 1033558259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2019016580) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 1205) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2024-07-11 |