NPI | 1174813026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX S8986) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 307239) |
208600000X Surgery (Licence: IL 126060526) | |
Enumeration Date | 2011-04-12 |
Last Update Date | 2020-12-15 |