NPI | 1073703187 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2025004183) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101017371) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2025-03-24 |