NPI | 1134105141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MD D0069793) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0069793) |
Enumeration Date | 2005-12-21 |
Last Update Date | 2019-04-22 |