NPI | 1063521714 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 49731) |
Additional Taxonomies | 174400000X Specialist (Licence: NE 21111) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2023-04-04 |