NPI | 1184629727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2011-0257) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO CDR.0001925) |
Enumeration Date | 2005-06-20 |
Last Update Date | 2022-08-29 |