NPI | 1043218829 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 22289) |
Additional Taxonomies | 174400000X Specialist (Licence: OK 22289) |
Enumeration Date | 2005-07-14 |
Last Update Date | 2023-04-11 |