NPI | 1124644828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 104746) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA R-11990) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: GA 104746) | |
Enumeration Date | 2020-06-19 |
Last Update Date | 2025-06-20 |