NPI | 1093786113 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 51188) |
Additional Taxonomies | 174400000X Specialist (Licence: MD H60485) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2022-11-16 |