NPI | 1043848211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 69845) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 30721) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2021-08-26 |