NPI | 1104883040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MO 2005014004) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2005014004) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2024-06-26 |