NPI | 1124221502 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 48440) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 67672-20) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2020-08-13 |