NPI | 1144629205 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL OS14887) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OS020026) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2024-08-29 |