NPI | 1134448525 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA OS018039) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2015-00059) |
207X00000X Orthopaedic Surgery (Licence: GA 071601) | |
207X00000X Orthopaedic Surgery (Licence: OH 58.003143) | |
Enumeration Date | 2010-05-25 |
Last Update Date | 2024-07-03 |