NPI | 1124292263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 060461) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q4967) |
Enumeration Date | 2008-04-19 |
Last Update Date | 2023-12-19 |