NPI | 1063483824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E5387) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO R8G14) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2020-09-09 |