NPI | 1184329583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 84960-20) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 100482-851) |
Enumeration Date | 2023-04-04 |
Last Update Date | 2025-05-27 |