NPI | 1053670794 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL MD.36056) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL 17310) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2017-08-09 |