NPI | 1194352468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 69559) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 30887) |
Enumeration Date | 2020-03-25 |
Last Update Date | 2021-07-13 |