NPI | 1043574874 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101019855) |
Additional Taxonomies | 208D00000X General Practice (Licence: MI 5101019855) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2019-05-16 |