NPI | 1033596069 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101026388) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101021549) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2021-11-12 |