NPI | 1154384634 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101240254) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 250992) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2025-01-10 |