NPI | 1134625841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: UT 13274768-1205) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ R76679) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2024-04-08 |