NPI | 1144410952 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL OS13775) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0102202797) |
207X00000X Orthopaedic Surgery (Licence: NE 539) | |
Enumeration Date | 2007-07-27 |
Last Update Date | 2022-05-16 |